Dresden, TN

Weakley Rehabilitation And Nursing Center

2-star overall rating with 2-star inspections with $63,297 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

700 Weakley County Nursing Home Road, Dresden, TN

(731) 364-3158

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

139

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cch Healthcare

Operator or chain grouping

Approved since

2002-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

32 facilities

Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.28

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.93

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.87

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.44

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,636

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.12

Composite VBP score used to determine payment impact.

Payment multiplier

1.0101

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.96

Baseline 19.21% · Performance 18.21% · Measure score 6.96 · Achievement 6.96 · Improvement 4.09

Healthcare-associated infections

7.52

Baseline 6.96% · Performance 5.59% · Measure score 7.52 · Achievement 7.52 · Improvement 6.48

Total nurse turnover

7.07

Baseline 59.70% · Performance 34.78% · Measure score 7.07 · Achievement 7.07 · Improvement 6.65

Adjusted total nurse staffing

0.51

Baseline 3.53 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.33%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 68 · Observed rate 8.82% · Lower 95% interval 6.87%
Discharge to community	43.7%	50.57% 6.9 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 36.84% · Lower 95% interval 32.88%
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	86.44%	95.27% 8.8 pts worse	Numerator 51 · Denominator 59
Falls with major injury	1.69%	0.77% 0.9 pts worse	Numerator 1 · Denominator 59
Discharge self-care score	22.73%	53.69% 31 pts worse	Numerator 10 · Denominator 44
Discharge mobility score	29.55%	50.94% 21.4 pts worse	Numerator 13 · Denominator 44
Pressure ulcers or injuries, new or worsened	3.39%	2.29% 1.1 pts worse	Numerator 2 · Denominator 59 · Adjusted rate 2.66%
Healthcare-associated infections requiring hospitalization	5.59%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 54 · Observed rate 0% · Lower 95% interval 3.19%
Staff COVID-19 vaccination coverage	8.54%	8.2% 0.3 pts better	Numerator 7 · Denominator 82
Staff flu vaccination coverage	67.95%	42% 26 pts better	Numerator 53 · Denominator 78
Discharge function score	25%	56.45% 31.5 pts worse	Numerator 11 · Denominator 44
Transfer of health information to provider	96.88%	95.95% 0.9 pts better	Numerator 31 · Denominator 32
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	1.6 0.7 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.6 0.6 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	89.9% 9.1 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.1% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	9.0%	3.6% 5.4 pts worse	3.3% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.0% · Q3 10.0% · Q4 11.8% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.4%	11.8% 4.4 pts better	11.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 14.9% · Q3 6.4% · Q4 0.0% · 4Q avg 7.4%
Percentage of long-stay residents who lose too much weight	4.0%	6.2% 2.2 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 6.8% · Q4 4.7% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	44.6%	32.2% 12.4 pts worse	19.6% 25 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 45.5% · Q3 43.2% · Q4 50.0% · 4Q avg 44.6%
Percentage of long-stay residents who received an antipsychotic medication	22.1%	18.1% 4 pts worse	16.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 21.6% · Q3 21.1% · Q4 20.0% · 4Q avg 22.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.0%	19.9% 15.9 pts better	16.3% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	15.3% 5.4 pts better	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.5% · Q3 5.0% · Q4 12.2% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	1.9% 0.4 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	20.2% 5.8 pts worse	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 24.1% · Q3 19.5% · Q4 37.5% · 4Q avg 26.0%
Percentage of long-stay residents with pressure ulcers	5.2%	5.4% 0.2 pts better	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.6% · Q3 4.1% · Q4 6.4% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	79.6% 16.9 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 86.5% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	6.5%	11.2% 4.7 pts better	12.0% 5.5 pts better	Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.9% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.8%	1.6% 5.2 pts worse	1.6% 5.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.8% · Q3 4.5% · Q4 10.0% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.2%	79.8% 17.4 pts better	79.7% 17.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	11.7%	22.2% 10.5 pts better	23.9% 12.2 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 10.3% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-10 · Fire 2025-09-10

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-29 · Fire 2024-06-29

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-04-13 · Fire 2023-04-13

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-09-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-02

D · Potential for more than minimal harm 2024-06-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-22

Inspection history

Recent health citations

G · Actual harm 2025-09-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-19

E · Potential for more than minimal harm 2025-09-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-19

E · Potential for more than minimal harm 2025-09-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-09-10

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-09-10

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-09-19

J · Immediate jeopardy 2024-06-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-12

G · Actual harm 2024-06-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-12

E · Potential for more than minimal harm 2024-06-29

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-08-12

E · Potential for more than minimal harm 2024-06-29

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-06-29